Setting the standard? New Zealand's approach to ensuring health and disability services of an appropriate standard

This article critiques how health and disability providers' competence is monitored in New Zealand. The New Zealand Health and Disability Commissioner has the responsibility to uphold health and disability consumers' rights, including the right to an appropriate standard of care. Analysis of opinions examines how services of an appropriate standard are measured. Changes have been made to the Commissioner's investigative process since the current Commissioner took office in 2000, and comparison between opinions from 1999-2000 and 2004 assesses the impact of changes for providers and consumers. Currently, service providers interpret standards; a new approach is required to ensure consistent standard application so that consumers' rights are promoted according to the legislation.     

The UN Security Council,normative legitimacy and the challenge of specificity

ABSTRACT

This paper discusses how the general and abstract concept of legitimacy applies to international institutions, using the United Nations Security Council as an example. We argue that the evaluation of the Security Council’s legitimacy requires considering three significant and interrelated aspects: its purpose, competences, and procedural standards. We consider two possible interpretations of the Security Council’s purpose: on the one hand, maintaining peace and security, and, on the other, ensuring broader respect for human rights. Both of these purposes are minimally morally acceptable for legitimacy. Second, we distinguish between three different competences of the UNSC: 1) the decision-making competence, 2) the quasi-legislative competence, and 3) the referral competence. On this basis, we argue that different procedural standards are required to legitimise these competences, which leads to a more differentiated understanding of the Security Council’s legitimacy. While maintaining that the membership structure of the Council is a severe problem for its legitimacy, we suggest other procedural standards that can help to improve its overall legitimacy, which include broad transparency, deliberation, and the revisability of the very terms of accountability themselves.     

The Role of Religiosity in the Relationship Between Parents,Peers, and Adolescent Risky Sexual Behavior

Research has documented a negative relationship between religion and risky sexual behavior. Few studies, however, have examined the processes whereby religion exerts this effect. The present study develops and tests a model of various mechanisms whereby parental religiosity reduces the likelihood of adolescents’ participation in risky sexual behavior (early sexual debut, multiple sexual partners, and inconsistent condom use). Structural equation modeling, using longitudinal data from a sample of 612 African American adolescents (55% female), provided support for the model. The results indicated that parental religiosity influenced adolescent risky sexual behavior through its impact on authoritative parenting, adolescent religiosity, and adolescent affiliation with less sexually permissive peers. Some mediating mechanisms differed by the gender of the respondent, suggesting a “double-standard” for daughters but not for sons. Findings also indicated the importance of messages about sexual behavior that are transmitted to adolescents by their peers. Theoretical and policy implications of the findings are discussed.     

Revisiting the decline in remarriage in early-modern Europe: The case of Rheims in France

Many were the European towns where remarriage frequency declined, especially for widows, in the 17th and 18th centuries. This article investigates how remarriage models evolved in France, basing our analysis on vital events collected for the fourteen parishes of the town of Rheims in Champagne. A large set of Family Reconstitution Forms for the period 1668-1802 allows the study of remarriage among urban widows and widowers. Through four successive periods of time, we observe changes in remarriage behaviour in this preindustrial center as a case study, in a gender comparative perspective. In urban surroundings, in the late 18th century, strategies of remarriage may have been more flexible than in rural areas. Women were less exposed to family and social pressure preventing them to remarry, discouraging or delaying a new union. The presence of dependent children was always a problem when a widow tried to choose a new partner. It was easier for a man to remarry. A widower used to take a new wife quickly and a younger one, if possible without children at charge. A specific aspect of the urban context was population geographical turn-over and changing labour markets. It would explain, at least partly, the decreasing proportion of remarriages in Rheims. Female urban surplus was a constant, affecting the chances for remarriage, particularly in large European cities.     

A comparative study of family transmission systems in the central Pyrenees and northeastern Japan

The stem-family system tells us much about the mechanisms controlling reproduction in rural areas and the important role women played as mothers, heiresses, or in other roles. In this article, two stem-family rural societies are compared, one located in the central Pyrenees in Europe (Esparros), the other in northeastern Japan (Aizu domain and Nihonmatsu domain). Both are in mountainous areas. Particular attention is paid to the role of adopted sons and sons-in-law in family transmission processes.     

Postmortem Skeletal Survey Practice in Pediatric Forensic Autopsies: A National Survey*

Abstract: Recommendations for the evaluation of an unexplained death in infancy include a postmortem skeletal survey (PMSS) to exclude skeletal trauma. Objectives of this study were to assess adherence to these recommendations in forensic autopsies in children equal to or less than 36 months of age, and what factors influence the use or nonuse of the PMSS. We surveyed pathologists who were members of the American Academy of Forensic Sciences. The survey included practice characteristics about where, when, and how PMSS were done. Nearly all respondents (99.6%) indicated they performed PMSS at least some of the time; however, almost a third did not use PMSS for all suspected Sudden Infant Death Syndrome (SIDS), abuse, unsafe sleep, or undetermined causes of death. Despite evidence that “babygrams” are inappropriate in a SIDS workup, 30% of pathologists use them preferentially. Despite SIDS being a diagnosis of exclusion that requires a PMSS, almost 10% of pathologists do not order a PMSS. Future research is necessary to reduce barriers to this important component of the pediatric forensic autopsy.     

Introduction: Adoption, affiliation, and family recomposition-inventing family continuity

This special issue deals with adoption practices and family recomposition in different societies in the past. Children's survival and family continuity were of major concern, and individual interests were linked, if not subordinated, to family groups. There were many different ways to perpetuate assets and power within the framework of the family. In Europe, systems that stress the importance of patrimonial arrangements houses are generally associated with the Roman conception of property, whereas systems favoring egalitarian redistribution within enlarged kinship groups have affinity with “barbarian” customs. In Japan, China, or on the Pacific atolls, we find other kinds of family systems, but in all of them adoption, affiliation, or family recomposition give priority to family continuity and well-being, inventing solutions to conflict, penury, infertility, and death. No future could be imagined without children, and the succession of generations was secured by these practices, resulting in early geographical, social, and family mobility for children and sometimes young men and women.     

The adolescent as mother: Early risk identification

Adjustment to parenting is a difficult process for the adolescent. This research attempted to identify easy-to-use maternal postpartum screening dimensions to predict two-month adjustment among 28 primipara adolescents. The results suggest several predictors of adjustment: initial parenting attitudes, preparation for parenting including involvement in instruction as well as specific knowledge areas, infant holding style, and aspects of social functioning. Postpartum risk screening may be a feasible way to identify intervention needs. Early screening would encourage early involvement in preventive programs. It would also provide a framework for evaluation and improvement of services to young mothers.Received Ph.D. from University of Pittsburgh. Current research interests include early adjustment characteristics, temperament as an individual difference, and cross-cultural adjustment patterns.clinical developmental psychologist in private practice. Received Ph.D. from University of Chicago. Current research interests in adolescent parenting, pediatric psychology, and the grief process.     

Feminism,imperialism and race: a dialogue between India and Britain

Abstract

During the partition period and up to 1918, Polish women's interests and aspirations outside the family were in increasingly frequent cases directed to taking up paid work and resorting to other measures in order to sustain their family. In other cases women's activity was shaped by experiences of resistance to national and sometimes also religious discrimination. In the early twentieth century only small groups of women put forward demands for equality, and even if they did so, they usually thought that this would be possible only after the rebirth of an independent foolish state. It is to this supreme aim that they subordinated their interest and their struggle for equality.